| NPI | 1932622081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00440300) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-01-30 |